For

CS Form No. 34-C Regulated Local Government Units

Revised 2017

(Stamp of Date of Receipt)

Republic of the Philippines

PLANTILLA OF CASUAL APPOINTMENTS

Department/Office: OFFICE OF THE MUNICIPAL MAYOR Source of Funds: LUMPSUM

INSTRUCTIONS:
(1) Only a maximum of fifteen (15) appointees must be listed on each page of the Plantilla of Casual Appointments.
(2) Indicate ‘NOTHING FOLLOWS’ on the row following the name of the last appointee on the last page of the Plantilla.
(3) Provide proper pagination (Page n of n page/s)."

ACKNOWLEDGEMENT OF
NAME OF APPOINTEE/S POSITION TITLE PERIOD OF EMPLOYMENT CSC FO ACTION
EQUIVALENT APPOINTEE
DAILY
SALARY/ JOB/
Name (Do not abbreviate) WAGE A - Approved
PAY GRADE From To
Last Name First Name Extension Middle Name Signature Date Received D-
(mm/dd/yyyy) (mm/dd/yyyy)
(Jr/III) Disapproved Date of Action
1 MANGUBAT JUNNAH IWAY LABORER 427.00 07/15/2022 12/31/2022
2 MUNDO ESMER CLAIRE PERLAS LABORER 427.00 07/15/2022 12/31/2022
3 TAYLARAN RAYLIN COSEP LABORER 427.00 07/15/2022 12/31/2022
4 PAREJA PRECIOSA SABADO LABORER 427.00 07/15/2022 12/31/2022
5 MONILAR DEBBLEE ROSE INSO LABORER 427.00 07/15/2022 12/31/2022
6 DAMAYO RUSSEL MANGUBAT LABORER 427.00 07/15/2022 12/31/2022
7 FLORES MELISSA ORQUE LABORER 427.00 07/15/2022 12/31/2022
8 RIVERA VIRGINIA MASIRIN LABORER 427.00 07/15/2022 12/31/2022
9 CUSTODIO GUILLERMO JR. COMILANG LABORER 427.00 07/15/2022 12/31/2022
10 MANGUBAT ALVIN APA LABORER 427.00 07/15/2022 12/31/2022
11 NOYNAY MIA JEAN CABUCOS LABORER 427.00 07/15/2022 12/31/2022
12 VILLARTA TUPAZ LABORER 427.00 07/15/2022 12/31/2022
13 XXXXXXXNOTHING FOLLOWSXXXXXXXX
14
15
The abovenamed personnel are hereby hired/appointed as casuals at the rate of compensation stated opposite their names for the period indicated. It is understood that such employment will cease automatically at the end of the period stated unless renewed. Any or all of them may be laid-off any time before the expiration of the employment period when
their services are no longer needed or funds are no longer available or the project has already been completed/finished or their performance are below par.

CERTIFICATION CERTIFICATION CERTIFICATION AND SIGNATURE OF CSC NOTATION

This is to certify that all requirements and supporting papers pursuant This is to certify that funds are available pursuant This is to certify that all pertinent
to CSC MC No. 24, s. 2017, as amended, have been complied to Appropriation Ordinance No. _______series of provisions of Sec. 325 of RA 7160
with, reviewed and found in order. _______. (Local Government Code of 1991)
have been complied with in the
issuance of appointments of the
above-mentioned persons.
ARESTEO D. HORTEZA LIEZL M. BRIAN NOEL T. DOTILLOS __________________________________
HRMO Accountant Governor/Mayor/Vice-Governor/Vice-Mayor CSC Official

Date : July 15, 2022 Date : July 15, 2022 Date: July 15, 2022 Date: ______________________